Fanning, Katie
Fanning, Katie is an sole proprietor health care provider with primary practice located at 393 North St , Springville NY 14141-9652. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Fanning, Katie can be contacted via phone (716) 592-9331.Contact Information
Primary practice address
393 North St
Springville NY 14141-9652
Phone: (716) 592-9331
Fax: (716) 592-4683
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Early Intervention Provider Agency | 252Y00000X | 1341458 | New York |
Profile Details
| NPI number | 1700246584 |
|---|---|
| LBN Legal business name | Fanning, Katie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2016 |
| Last updated | Mar 7th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700246584 | NPPES |
| New York | MEDICAID | 1341458 |
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